Andre Jerome McDonald I, C.HT.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

484 Clayton Ave
Stevens Point, WI 54481-2026

Phone

(715) 560-5325

NPI assigned

Jan 8, 2021

Last updated

Jan 8, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Dr. Andre J. McDonald Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1610064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1699363218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 CLAYTON AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812026",
            "telephone_number": "715-560-5325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 CLAYTON AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812026",
            "telephone_number": "715-560-5325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "ANDRE",
        "middle_name": "JEROME",
        "name_suffix": "I",
        "credential": "C.HT.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-08",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "106E00000X",
            "taxonomy_group": "",
            "desc": "Assistant Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDRE",
            "last_name": "MCDONALD",
            "middle_name": "J.",
            "prefix": "DR.",
            "credential": "C.HT.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Ronald Lewis Matthew, PHD
• Bailey Ann Matthews, PHARM D
• Devin James Mattson, DPT, ATC/LAT
• Nicole Mattson, D.C.
• Jenny Lynn Maves, RDH
• Kathleen Jean McGinnis, M.D.
• Edward J McGrath, DDS
• Amy McGuire, LPC-IT
• MCHS Hospitals Inc (Inactive Marshfield Medical Center - River Region (Stevens Point))
• MCHS Hospitals Inc (Marshfield Medical Center - River Region Prof Svcs)

• Community/Behavioral Health Agency in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Community/Behavioral Health Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.